Development of a job task analysis tool for assessing the work of physicians in the intensive care unit

2006 ◽  
Author(s):  
Kara Schultz ◽  
Jason Slagle ◽  
Roger Brown ◽  
Steve Douglas ◽  
Brian Frederick ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Task Analysis ◽  
Analysis Tool ◽  
Job Task

Development of a Job Task Analysis Tool for Assessing the Work of Physicians in the Intensive Care Unit

2006 ◽  
Vol 50 (15) ◽  
pp. 1469-1473 ◽  
Author(s):  
Kara Schultz ◽  
Jason Slagle ◽  
Roger Brown ◽  
Steve Douglas ◽  
Brian Frederick ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Task Analysis ◽  
Analysis Tool ◽  
Job Task

The Impact Of Covid-19 Pandemic On Nurses’ Behavior For Updating Assessment Results By Using The Electronic Medical Record Log Data In A Non- Covid Intensive Care Unit

2021 ◽  
Vol 65 (1) ◽  
pp. 169-173
Author(s):  
Alireza Kasaie ◽  
Jung Hyup Kim ◽  
Laurel Despins
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Task Analysis ◽  
Primary Objective ◽  
Process Time ◽  
Average Process ◽  
Hierarchical Task Analysis ◽  
System Data ◽  
The Impact ◽  
Assessment Results

The primary objective of this paper is to explore whether COVID-19 affects nurses’ behavior on updating assessment results in EMRs in an intensive care unit (ICU) and analyze how the patterns of updating assessment results can be different. The study considered information from March (before the pandemic) and July (during the pandemic) in terms of average process time and frequency. In this study, the response-time measurement system data was used to analyze ICU nurses’ workflow related to EMR documentation. After that, multiple hierarchical task analysis (HTA) charts were developed to find different EMR documentation patterns for assessment results. The results revealed that these patterns were significantly different in terms of average process time and frequency before and during the pandemic. The finding of this study might reveal the possible impact of COVID-19 pandemic on the patterns of updating patient assessment results and how nurses’ preferences can be different in terms of average process time and frequency.

Using cognitive task analysis to facilitate the integration of decision support systems into the neonatal intensive care unit

2005 ◽  
Vol 35 (3) ◽  
pp. 243-257 ◽  
Author(s):  
Gordon D. Baxter ◽  
Andrew F. Monk ◽  
Kenneth Tan ◽  
Peter R.F. Dear ◽  
Simon J. Newell
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Decision Support ◽  
Neonatal Intensive Care Unit ◽  
Decision Support Systems ◽  
Task Analysis ◽  
Neonatal Intensive Care ◽  
Support Systems ◽  
Cognitive Task ◽  
Cognitive Task Analysis

Implementing Intensive Care Unit Family-Centered Care: Resources to Identify and Address Gaps

2017 ◽  
Vol 28 (2) ◽  
pp. 148-154 ◽  
Author(s):  
David Y. Hwang ◽  
Robert El-Kareh ◽  
Judy E. Davidson
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Gap Analysis ◽  
Action Planning ◽  
Practice Change ◽  
Analysis Tool ◽  
Family Centered Care ◽  
Centered Care ◽  
Barriers To Implementation ◽  
Family Centered

During creation of the 2017 Society of Critical Care Medicine Guidelines for Family-Centered Care in the Intensive Care Unit, 2 implementation tools were developed to assist intensive care unit clinicians in incorporating the new recommendations into local practice: a gap analysis tool and a work tools document. The gap analysis tool helps intensive care unit teams rapidly develop unit- or organization-specific recommendations to enhance family-centered care and assess local barriers to implementation. The work tools document identifies readily available and tested resources that may further assist with action planning for change. The goal of these implementation tools is to promote rapid translation of the SCCM Guideline recommendations into practice, thereby streamlining the process of enacting meaningful evidence-based practice change.

scholarly journals Use of the failure mode and effect analysis tool in the clinical medication process in an intensive care unit

2021 ◽  
Vol 12 (3) ◽  
pp. 606
Author(s):  
Kamila M. SIDNEY ◽  
Elana F. CHAVES ◽  
Henrique M. COSTA ◽  
Geysa A. ROMEU ◽  
Marta F. FONTELES
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Drug Interaction ◽  
Failure Mode ◽  
Failure Modes ◽  
Anatomical Therapeutic Chemical ◽  
Analysis Tool ◽  
Cross Sectional ◽  
Multiprofessional Team ◽  
Medication Process

Objective: To describe failure modes and establish contingency measures related to the clinical medication process using medical prescriptions of patients admitted to an Intensive Respiratory Therapy Unit (UTIR), using the Failure Mode and Effects Analysis (FMEA) tool. Methods: This is a descriptive and cross-sectional study carried out in an Intensive Care Unit of a public hospital in Fortaleza, Brazil, from November/2015 to March/2016. Study population included adults aging ≥ 18 years in intensive care at the UTIR. The study included the medical prescriptions released on Mondays, Wednesdays, and Fridays. The study was divided in five phases: situational diagnosis, formation of a multiprofessional team, assessment of failure modes (FM), monitoring of FM and calculation of the priority coefficient (PC). In the FM assessment, scoring of the three indicators of the FMEA was used within a range of 1-10, whereas a score of 10 characterized the most concerning situation. Therefore, the indicators gravity (G), prevalence (P) and detection (D) were analyzed. The study was carried out with an active interaction between the subjects of the group and several in-person and virtual sessions were performed. Drugs used in the study were categorized for therapeutic class, according to the Anatomical Therapeutic Chemical Classification System. Data analysis was performed using Microsoft Office Excel® 2013 software. Results: 301 prescriptions were analyzed, with the identification of 452 FMs, which related mostly to systemic antibacterials (21.6%, n = 8), psycholeptics (13.5%, n = 5) and antithrombotic agents (10.8%, n = 4). FMs were divided in eleven categories, from which “drug interaction” (36.8%; n = 14), “dose adjustment” (21.1%, n = 8) and “food-drug interaction” (7.9%, n = 3) were the most frequent. The PC of the detected FMs varied between 28 and 294, and 42.1% (n = 16) of them presented PC above 100. Median of the indicators G (6 – min: 3; max: 9), D (7 – min: 3; max 7) and priority coefficient (72 – min: 28; max: 294) indicate that FM had generally moderate gravity, low prevalence and low detection. For the majority of FMs (72.7%, n = 28), the chosen conduct was ‘not to accept’ and the established contingency measure included a sentinel event notification. Conclusion: The use of FMEA enabled the identification, classification, and prioritization of risks of the clinical medication process in the UTIR. This study indicates the need to implement measures that increase safety in the clinical practice of the study Intensive Care Unit.

scholarly journals Conceptualizing surrogate decision making at end of life in the intensive care unit using cognitive task analysis

2015 ◽  
Vol 63 (3) ◽  
pp. 331-340 ◽  
Author(s):  
J. Nicholas Dionne-Odom ◽  
Danny G. Willis ◽  
Marie Bakitas ◽  
Beth Crandall ◽  
Pamela J. Grace
Keyword(s):  
Intensive Care Unit ◽  
Decision Making ◽  
Intensive Care ◽  
End Of Life ◽  
Task Analysis ◽  
Cognitive Task ◽  
Cognitive Task Analysis ◽  
Surrogate Decision Making ◽  
Surrogate Decision

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

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